Organization Active NPI

Ara-South Boca Raton Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1114959186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ARA-SOUTH BOCA RATON DIALYSIS LLC
Doing business as
Convalescent Renal Care of South Florida
Practice address
7300 Del Prado Cir S
Boca Raton, FL 33433-3386
Phone
(561) 416-2039
Fax
(561) 416-5756
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Christopher T Ford
Title
President/Ceo
Phone
(978) 922-3080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

7300 Del Prado Cir S
Boca Raton, FL 33433-3386

Mailing address

66 Cherry Hill Dr
Suite 200
Beverly, MA 01915-1054
Phone (978) 922-3080

Other names 1

  • Convalescent Renal Care of South Florida Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114959186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CHERRY HILL DR",
            "address_2": "SUITE 200",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151054",
            "telephone_number": "978-922-3080",
            "fax_number": "978-922-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 DEL PRADO CIR S",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333386",
            "telephone_number": "561-416-2039",
            "fax_number": "561-416-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARA-SOUTH BOCA RATON DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "978-922-3080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convalescent Renal Care of South Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.